MEDRAD CLINICS SC NPI 1780815241

NPI Information

  • NPI: 1780815241
  • Provider Name: MEDRAD CLINICS, SC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2124332
  • Address: 1225 HARLEM AVE
    FOREST PARK, IL
    ZIP 60130
  • Phone: (708) 657-4540

Map and Directions

Get Directions

NPI Details

MEDRAD CLINICS, SC is a radiology clinic center in Forest Park, IL. MEDRAD CLINICS, SC NPI is 1780815241. The provider is registered as an organization entity type.

The provider's business location address is:

1225 HARLEM AVE
FOREST PARK, IL
ZIP 60130-407
Phone: (708) 657-4540
Fax: (708) 657-4535

The provider's authorized official is Kenneth Uzoma Ekechukwu .
The authorized official title is President and has the following contact phone number (630) 967-4997.

The CLIA number assigned to this NPI record is 14D2124332 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/1/2009 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service042.617504ILLINOISNo
2261QR0200XClinic/CenterRadiology042.617504ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI